HomeMy WebLinkAboutBP 1980-1715 New Single Family 19/ ,
FEE SCHEDULE Permit No. J '7 S
CITY BLDG. Jd I, 00 CITY OF OA 'P' ' K HEIGHTS Plan No.
(For Dept. nee only)
STATE SURCHARGE . 14:00
BLDG. PERMIT ��//�� /)/)
CITY UTILITY �/r(• ✓"
EXTERNAL PLBG. /b.OP
METRO S.A.C. j/2.6:00 APPLICATION FOR PERMIT s — � / UTILITY CONNECTION SZI9.00 Date 19 �
TOTAL AMOUNT DUE / I/
STRUCTURE USED AS
REFRG HANG
MARK BUiL PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
S Q U A R E S 7 Ilr I ^I n C 7 BV X C C
Owner w A G T n eyed 5 /g• c Address
Architect Address
General Contractor S kv . C C 4 .RR 0 S l eeC Address 6-- g ?V 0/71A ,/.4
Contractor Reg. No.
A/ 39 -7ga
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
i ys? sS S- 'w 5 i � 6.SGoc3O & i 4iZ
LOT BLOCK / ADDITION OR TRACT
7 S 8R £ Aen r //i - A-OD 2
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
O
LOT g / 3 / 0 3 d
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Y 96 / Z ( ,',Q•q -jti 30 p o
0 YES DETAILS OR REMARKS:
BASEMENT �n NO
• The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor ermit be issued,
OWNER /CONTRACTOR SIGNED V ll,�
E OK'D BY ._